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0 <br />UNIVERSAL PRECAUTIONS (BSI) <br />Tuberculosis, Pulmonary, <br />confirmed or suspect. <br />Variola (Smallpox) <br />o. Private Room Use <br />11 <br />In most instances, <br />Prompt use of <br />duration can be guided <br />effective anti - <br />by clinical response <br />tuberculosis <br />and a reduction in <br />drugs is the most <br />numbers of TB <br />effective means <br />organisms on sputum <br />of limiting <br />smear. Usually this <br />transmission. <br />occurs within 2-3 <br />weeks after chemo- <br />therapy is begun. <br />When the patient is <br />likely o be infected <br />with INH -resistant <br />organisms, apply pre- <br />cautions until patient <br />is improving and sputum <br />sr-rea_r is negaative TB <br />for organisms. <br />Duration of illness. <br />Private rooms should be provided for the following: <br />1) Patients with infectious diseases transmitted in whole or part by <br />the airborne route. <br />(Refer to page 7, "Precautions for Patients with Airborne Diseases" <br />for.detailed information.) <br />2) Patie(ts colonized or infected with "Resistant" organisms (any <br />site). <br />(A "stop.sign alert" will be placed on the door to the patient's <br />room of those whose "Resistent" organism is in the respiratory <br />tract, i.e., sputum, ET secretions.) <br />3) Patients with diagnosis of AIDS. <br />a) For public relations and courtesy reasons, private rooms should <br />be provided whenever possible. <br />b) The use of private rooms is only for persons who may be known <br />to be HIV antibody positive but asymptomatic (information about <br />HIV antibiody positivity is rarely known and should not <br />influence decisions about care or placement). <br />c) Persons with AIDS-related conditions (ARC) are evaluated by the <br />admitting physician who determines his/her need for a private <br />room based on the patient's physical condition and likelihood <br />that an AIDS diagnosis may be made during the hospital <br />admission. <br />